Individual provider Active NPI

Kevin Eugene Brown, D.M.D., M.S.

  • Periodontics
  • Conover, NC
National Provider Identifier
1578533014
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
5380 Issued in NC
Practice address
3305 16TH Ave SE
Conover, NC 28613-9213
Phone
(828) 465-0187
Fax
(828) 465-5680
NPI assigned
Jan 26, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 5380 NC Primary

Addresses

Primary practice location

3305 16TH Ave SE
Conover, NC 28613-9213

Mailing address

3305 16TH Ave SE
Conover, NC 28613-9213
Phone (828) 465-0187

Other identifiers 1

IdentifierTypeStateIssuer
8991127MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150521002475 NC Order and Referring Only - DentistPractitioner - Dentist 3173843778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1578533014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 16TH AVE SE",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286139213",
            "telephone_number": "828-465-0187",
            "fax_number": "828-465-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 16TH AVE SE",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286139213",
            "telephone_number": "828-465-0187",
            "fax_number": "828-465-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KEVIN",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NC",
            "license": "5380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8991127",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conover, NC

Sources for this page

Verify at the official NPI Registry.